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10.3945/ajcn.114.095539

http://scihub22266oqcxt.onion/10.3945/ajcn.114.095539
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suck abstract from ncbi


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pmid25411283
      Am+J+Clin+Nutr 2014 ; 100 (6 ): 1479-88
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  • Alcohol, one-carbon nutrient intake, and risk of colorectal cancer according to tumor methylation level of IGF2 differentially methylated region #MMPMID25411283
  • Nishihara R ; Wang M ; Qian ZR ; Baba Y ; Yamauchi M ; Mima K ; Sukawa Y ; Kim SA ; Inamura K ; Zhang X ; Wu K ; Giovannucci EL ; Chan AT ; Fuchs CS ; Ogino S ; Schernhammer ES
  • Am J Clin Nutr 2014[Dec]; 100 (6 ): 1479-88 PMID25411283 show ga
  • BACKGROUND: Although a higher consumption of alcohol, which is a methyl-group antagonist, was previously associated with colorectal cancer risk, mechanisms remain poorly understood. OBJECTIVE: We hypothesized that excess alcohol consumption might increase risk of colorectal carcinoma with hypomethylation of insulin-like growth factor 2 (IGF2) differentially methylated region-0 (DMR0), which was previously associated with a worse prognosis. DESIGN: With the use of a molecular pathologic epidemiology database in 2 prospective cohort studies, the Nurses' Health Study and Health Professionals Follow-up Study, we examined the association between alcohol intake and incident colorectal cancer according to the tumor methylation level of IGF2 DMR0. Duplication-method Cox proportional cause-specific hazards regression for competing risk data were used to compute HRs and 95% CIs. In addition, we investigated intakes of vitamin B-6, vitamin B-12, methionine, and folate as exposures. RESULTS: During 3,206,985 person-years of follow-up, we identified 993 rectal and colon cancer cases with an available tumor DNA methylation status. Compared with no alcohol consumption, the consumption of ?15 g alcohol/d was associated with elevated risk of colorectal cancer with lower levels of IGF2 DMR0 methylation [within the first and second quartiles: HRs of 1.55 (95% CI: 1.08, 2.24) and 2.11 (95% CI: 1.44, 3.07), respectively]. By contrast, alcohol consumption was not associated with cancer with higher levels of IGF2 DMR0 methylation. The association between alcohol and cancer risk differed significantly by IGF2 DMR0 methylation level (P-heterogeneity = 0.006). The association of vitamin B-6, vitamin B-12, and folate intakes with cancer risk did not significantly differ according to IGF2 DMR0 methylation level (P-heterogeneity > 0.2). CONCLUSIONS: Higher alcohol consumption was associated with risk of colorectal cancer with IGF2 DMR0 hypomethylation but not risk of cancer with high-level IGF2 DMR0 methylation. The association between alcohol intake and colorectal cancer risk may differ by tumor epigenetic features.
  • |*Epigenesis, Genetic [MESH]
  • |Adult [MESH]
  • |Aged [MESH]
  • |Alcohol Drinking/adverse effects [MESH]
  • |Colorectal Neoplasms/*epidemiology/etiology [MESH]
  • |DNA Methylation [MESH]
  • |Energy Intake [MESH]
  • |Ethanol/*adverse effects [MESH]
  • |Female [MESH]
  • |Folic Acid/administration & dosage [MESH]
  • |Follow-Up Studies [MESH]
  • |Humans [MESH]
  • |Incidence [MESH]
  • |Insulin-Like Growth Factor II/genetics/*metabolism [MESH]
  • |Male [MESH]
  • |Methionine/administration & dosage [MESH]
  • |Middle Aged [MESH]
  • |Proportional Hazards Models [MESH]
  • |Prospective Studies [MESH]
  • |Risk Factors [MESH]
  • |Vitamin B 12/administration & dosage [MESH]


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